Vaginitis Candida BV Trichomoniasis Wet Mount Whiff Test Vaginal pH Trich Albicans gardnerella
Distinguished future physicians welcome toStomp on Step 1 the only free tutorials series that helps you study more efficiently by focusingon the highest yield material. I'm Brian McDaniel and I will be your guide on thisjourney through vulvovaginal infections. This is the 3rd tutorialmy playlist covering allof microbio. Vulvovaginitis (AKA Vaginitis) is inflammationof the lower genital tract. It is usually due to infection, but there are a wide varietyof causes. During this tutorial we will focus on the 3 most important causes of vulvovaginitisfor the medical board exam (trichomonas, candida and BV). However, you should know that othertypes of vaginitis include mechanical irritation,
allergic reactions (to soaps or feminine products)and a variety of other infections. Atrophic Vaginitis is a common cause of vaginitis inpostmenopausal women and we will cover thata later tutorialthe GYN section. Gonorrheaand Chlamydia present primarily with cervicitis, but it can also cause vulvovaginitis. GCwill be covered laterits own tutorial. We will start with a few different tests thatwe will use to differentiate between the different infections.Wet Prep (AKA Wet Mount Test) is a microscopic examination of vaginal discharge used to differentiatebetween different types of vulvovaginitis. The vaginal specimen is obtained using a speculumand a que tip similar to how one gets a pap
smear. Then the specimen is rubbed onto aglass slide. One half of the slide has a op of saline added to it while the other halfof the slide has a op of 1020% KOH (Potassium hyoxide) added to it.When Saline is added it makes it easier to view clue cells for BV flagellated motilecells for trichomonas. The KOH kills bacteria and vaginal cells leavingonly yeast cells. This makes it easier to view the psuedohyphae and budding yeast presentduring vulvovaginal candidiasis. KOH is also alkalotic so it can be used fora â€œWhiff Test.â€� In this scenario when the alkalotic KOH is added to a sample containingBV it will create an amine or fishy smell.
This is a similar principle behind how thesmell of BV can increase after unprotected sex since semen is alkalotic. The normal vaginal pH for a reproductive agewoman is about 4, while the normal vaginal pH before puberty and after menopause is about7. During puberty there is an estrogen guided increasethe growth lactobacilli flora.These bacteria break down glycogen into lactic acid which lowers pH from about 7 to about4. Now that you know the normal values you can apply it to diseases. Usually, BacterialVaginosis Trichomonas have alkalotic pH (gt;4.5reproductive age women) while candidahas normal pH (lt;4.5). pH paper can be tested
by using pH paper on vaginal discharge. You can see here at the top right corner thatI give BV a high yield rating of 3 on a scale from 1 to 10. If you want to learn more about that ratingsystem you can go to my website or click on this orange box here if you are watching thistutorial on a computer. Bacterial Vaginosis (AKA BV) is a polymicrobialinfection caused by the overgrowth of normal flora. The key bacteriathis infectionis gram negative Gardnerella Vaginalis. Clue cells are visible on the saline portionof a wet prep. A Clue Cell is a sloughed mucosal
squamous epithelial cell coveredmany adherentcoccoid bacteria (Gardenerella Vaginalis). Here is a picture comparing normal squamousepithelial cells with a few stered lactobacill to squamous cells that are coveredthousandsof adherent garenerella bacteria. Here is one more pic. You can see on the leftwe have a normal squamos epithelial cell with a few WBCs. On the right we have the darkerClue cells. Finally I have a photomicrograph to look atin case you see that on your test. A thinwatery graywhite discharge is presentA fouls smell is present and often described as an Amine Odor or Fishy Smell. This smellis intensified after unprotected intercourse
Why does my vagina smell
Oh sorry. What are you doingé Clone: I've been on a pineapple only diet all week and I still don't smell like a pineapple. What. Clone: I don't want my icky vagina to smell bad like they normally do. Clone: so I read online that I can make it smell like a pineapple! Oh my god I have to make a tutorial about this. It's time to talk about vaginas.
Your sausage wallet, punani, cookie, clam, toybox, cunt. Cunt is my favorite. Not just my favorite word for vaginas but like my favorite wordEnglish. It makes me really sad when I have casual vagina conversations with my friends and they don't know basic vagina owning 101. I wonder if theres a book called that. I'm going to look it up and if so its going to be on the screen right now. Just cause. I'm buying it. God I sound so pretentious. quot;I know more about vaginas then like, all of my friends.quot; Make a gif of that.
Alright, having a naturally bad smelling vagina isn't a thing. Vaginas are awesome. They smell awesome. And they taste awesome. Some people have faint scents, some people have strong scents. Do you want to bea tutorial about vaginasé When I tell people I don't wash my vagina they freak out. BUT HOW DO YOU KEEP IT CLEANé! Hey listen, vaginas clean themselves. They are a product of millions of years of evolution and all of that was before soap was invented.
There are actually lots and lots of little living things inside your vagina. Clone: AHHH! Don't freak out! There are tons of little living things all over and inside your body on the microbiological level and they're all working really hard to keep you healthy. So uh make their job a little easier and don't fuck it all up. Seriously if you're using soap or douchesyour vagina you are fucking up your natural cleaning process. Seriously though clean the dirty parts of your body. Your vagina isn't one of them. But having an unbalanced vagina is totally a thing. And if you use anything dirtyyour vagina like penises, toys, fingers you really gotta stay on top of it.
Now if your partners the one telling you to handle your shit downstairs tell them to go fuck a pineapple. But with that being said your vaginas a constant war between yeast and bacteria. If either of them wins, you're going to have a problem. That's not really how it works but I just love describing a vagina as that. IT'S A WAR ZONE. I don't know. Vaginas are badass y'all. Yeast infections and bacterial infections can both cause bad smells. BUUUUT, so called 'feminine freshness' products actually cause this.
They murder these tiny little organisms that keep you healthy and then make you smell bad. Let me say that again. DOUCHES AND SOAP MAKE YOU SMELL BAD. So you think you smell bad. You use a douche. You use a feminine soap. Then the smell goes away for a day and you're like, quot;Oh my god I smell like roses and mangoes!quot; Then the next day you smell bad again so you have to buy more of their products. It's a freakin vicious cycle. Chaching for them. Woof for you.